| NPI | 1083967350 |
|---|---|
| Former Name | TIARA BROOKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC A16812) |
| Enumeration Date | 2012-10-23 |
| Last Update Date | 2023-12-04 |